CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Jfk Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $2,293
  • Cash Discount Price: $9,971
  • vs. Medicare Baseline: 12.80x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Jfk Hospital is $2,293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,971. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.80x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$9,971

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,293

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $9,971 (5564%)
Insurance Median: $2,293 (1280%)
Cash: $9,971 (5564% of Medicare)
Ins. Median: $2,293 (1280% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1280% of the Medicare baseline (a markup of 1180%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
United $402 - $4,487 224%
Healthy Palm Beaches $550 307%
Freedom Health $858 - $1,595 479%
Optimum $858 479%
Aetna $868 - $2,991 484%
Avmed $890 - $4,986 497%
Simply Healthcare Plans $1,296 723%
Molina $1,695 - $2,692 946%
Health Sun Health Plan $2,124 1185%
Aids Healthcare $2,194 - $11,965 1224%
Mmm Of Fl (Health Advantage Plan) $2,293 1280%
United Ppo $2,363 1319%
Sunshine State Health Plan $2,592 1446%
Corvel Corporation $3,457 1929%
Blis $3,490 1948%
Careworks (Rockport) $3,530 1970%
Prime Health $3,530 1970%
District Cares $4,986 2782%
Plotkin Health $4,986 2782%
Prime Health Sherriff $4,986 2782%
Medica Healthcare $5,883 3283%
Multiplan $7,478 - $8,475 4173%
Evernorth Bh $7,977 4451%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals